Illinois Provider Communications (Medicare)
Provider Newsletters
- First Quarter 2025 **NEW**
- First Quarter 2025 Illinois Edition **NEW**
- Fourth Quarter 2024
- Third Quarter 2024
- Second Quarter 2024
- First Quarter 2024
- Fourth Quarter 2023
- Third Quarter 2023
- Second Quarter 2023
- First Quarter 2023
Communications & Notifications
New Claim Dispute & Appeal Form
May 9, 2025 - Transitioning to Multi-Payer Availity Authorization Tool
May 6, 2025 - Monthly Memo Roundup: Recap of April Provider News
April 22, 2025 - Register for May Provider Webinars
April 18, 2025 - COVID Vaccination PA for Non-Par FQHCs, RHCs, and ERCs
April 1, 2025 - Monthly Memo Roundup: Recap of March Provider News
March 24, 2025 - Register for April Provider Webinars
March 13, 2025 - Molina Member Identification Toolkit
March 6, 2025 - Get to Know Your Dedicated Support Person
March 3, 2025 - Monthly Memo Roundup: Recap of February Provider News
February 24, 2025 - Register for March Provider Webinars
February 24, 2025 - Communication Roadmap: Disputes/Appeals, Recoveries, Medical Records
February 5, 2025 - Monthly Memo Roundup: Recap of January Provider News
January 28, 2025 - Register for February Provider Webinars
January 21, 2025 - Correct Coding for Sleep Studies
January 15, 2025 - 2025 Provider Manuals Available Online
January 8, 2025 - Unblocking Molina Fax Numbers for UM Communications
January 2, 2025 - Monthly Memo Roundup: Recap of December Provider News
December 18, 2024 - Register for January Provider Webinars
December 2, 2024 - Monthly Memo Roundup: Recap of November Provider News
November 26, 2024 - Register for December Provider Webinars
November 19, 2024 - Don’t Miss Out on Illinois Provider Updates!
November 18, 2024 - Prior Authorization Application Update in Availity
November 4, 2024 - Monthly Memo Roundup: Recap of October Provider News
October 24, 2024 - Register for November Provider Webinars
October 3, 2024 - Get to Know Your Dedicated Support
October 1, 2024 - Monthly Memo Roundup: Recap of September Provider News
September 27, 2024 - Regulatory Standards of Member Access to Care
September 27, 2024 - Register for October Provider Webinars
September 5, 2024 - Monthly Memo Roundup: Recap of August Provider News
August 19, 2024 - Register for September Provider Webinars
August 1, 2024 - Monthly Memo Roundup: Recap of July Provider News
July 31, 2024 - In-Office Laboratory Tests & Preferred Labs Update
July 26, 2024 - Register for August Provider Webinars
July 10, 2024 - Capitalize on the Knowledge of Your Provider Relations Manager
July 2, 2024 - Monthly Memo Roundup: Recap of June Provider News
June 27, 2024 - Register for July Provider Webinars
June 26, 2024 - Updates to Molina Clinical Policies, June 2024
June 7, 2024 - Provider/Staff Survey
June 3, 2024 - Monthly Memo Roundup: Recap of May Provider News
May 24, 2024 - Register for June Provider Webinars
May 23, 2024 - Testing for Lead Levels In Children
May 3, 2024 - Reminder That Balance Billing Is Not Allowed
May 1, 2024 - Monthly Memo Roundup: Recap of April Provider News
April 29, 2024 - Register for May Provider Webinars
April 26, 2024 - Updates to Molina Clinical Policies, April 2024
April 12, 2024 - Enterprise Medicare Unit PA Fax Update
April 11, 2024 - Optum-Change Healthcare Outage Update
April 5, 2024 - PA Requirements for Outpatient Therapy and Home Health Care
April 3, 2024 - Leverage the Knowledge of Your Provider Relations Manager
April 2, 2024 - Monthly Memo Roundup: Recap of March Provider News
March 26, 2024 - ASAM 4th Edition Scheduled to Go Live April 29, 2024
March 22, 2024 - Register for April Provider Webinars
March 18, 2024 - Optum-Change Healthcare Outage Update
March 14, 2024 - National Drug Code (NDC) Validation Process Update
March 13, 2024 - Update On Optum-Change Healthcare Outage
March 12, 2024 - MCG 28th Edition Scheduled to Go Live April 15, 2024
March 1, 2024 - Monthly Memo Roundup: Recap of February Provider News
February 29, 2024 - Register for March Provider Webinars
February 29, 2024 - Updates on Optum-Change Healthcare Outage
February 27, 2024 - Updates to Molina Clinical Policies, February 2024
February 26, 2024 - Optum-Change Healthcare Outage
February 6, 2024 - Monthly Memo Roundup: Recap of January Provider News
January 25, 2024 - Register for February Provider Webinars
January 9, 2024 - Roster Training and Resources for Providers
January 3, 2024 - Monthly Memo Roundup: Recap of December Provider News
December 22, 2023 - Register for January Provider Webinars
December 21, 2023 - Updates to Molina Clinical Policies, December 2023
December 20, 2023 - Reminder: Use Availity Essentials Portal for Advanced Imaging PAs
December 19, 2023 - 2024 Provider Manuals Now Available
December 5, 2023 - Monthly Memo Roundup: Recap of November Provider News
November 29, 2023 - Register for December Provider Webinars
November 13, 2023 - Submit and Track Appeals on Availity Essentials
November 9, 2023 - Enhancements to EOP/835 Refund and Forwarding Balance Reporting
November 7, 2023 - Your Opinion Matters: 2023 Provider Satisfaction Survey
November 1, 2023 - Monthly Memo Roundup—Recap of October Provider News
October 26, 2023 - Register for November Provider Webinars
October 26, 2023 - Updates to Molina Clinical Policies, October 2023
October 20, 2023 - Pregnancy and Delivery Notification Requirements
October 19, 2023 - Smart Claims Becomes Quick Claims in Availity Essentials
October 2, 2023 - Monthly Memo Roundup—Recap of September Provider News
September 28, 2023 - Pharmacy Prior Authorizations for Inpatient Behavioral Health
September 22, 2023 - Register for October Provider Webinars
September 14, 2023 - Updates to Molina Clinical Policies, August 2023
September 14, 2023 - Advanced Imaging Auto Responses for All LOBs in Availity
September 6, 2023 - Monthly Memo Roundup—Recap of August Provider News
September 1, 2023 - Annual NCQA Provider Newsletter Now Available
August 30, 2023 - How to Get Automatic Approval for Advanced Imaging Prior Authorization
August 30, 2023 - Register for September Provider Webinars
August 25, 2023 - How To Read the EOP and 835 Enhancements
August 1, 2023 - Monthly Memo Roundup—Recap of July Provider News
July 27, 2023 - Updates to Molina Clinical Policies, June 2023
July 21, 2023 - Register for August Provider Webinars
July 14, 2023 - Enhancements to EOP/835 Refund and Forwarding Balance Reporting
July 12, 2023 - MCG 27th Edition Scheduled to Go Live July 20, 2023
July 3, 2023 - Monthly Memo Roundup—Recap of June Provider News
June 30, 2023 - Molina Healthcare of Illinois’ HQ Has Moved
June 30, 2023 - Providers Must Use the HFS Claim Issue Process and Template
June 29, 2023 - HFS Complaint Tracking Process Reminder
June 28, 2023 - Register for July Provider Webinars
June 7, 2023 - Reminder: Monthly PA Frequency Accumulator for Waiver Billing
June 6, 2023 - Reminder: Molina Healthcare of Illinois’ HQ Is Moving in July
June 2, 2023 - Outpatient Therapy (Physical, Occupational, Speech) & Home Health Care Require PA
June 1, 2023 - Monthly Memo Roundup—Recap of May Provider News
May 30, 2023 - Register for June Provider Webinars
May 24, 2023 - Flexibilities Offered Under Appendix K Ending for Waiver Members
May 23, 2023 - Molina Legacy Portal ‘Sunset’ Begins
May 18, 2023 - Updates to Molina Clinical Policies, May 2023
May 17, 2023 - PA Requirements & Codes: Oncology & Cardiology Processes for Medicaid & Medicare
May 10, 2023 - Molina Healthcare of Illinois’ HQ Is Moving in July
May 2, 2023 - Monthly Memo Roundup—Recap of April Provider News
May 2, 2023 - New Date for Molina Legacy Portal ‘Sunset’
April 28, 2023 - Molina’s Prior Authorization (PA) Requirements—Third Quarter, 2023
April 25, 2023 - Register for May Provider Webinars
April 18, 2023 - Availity Essentials Training Includes Legacy Portal Access
April 17, 2023 - Proper Use of Urgent (Expedited) Requests vs. Non-Urgent (Routine)
April 14, 2023 - Get To Know ‘Molina Guided Care’
April 13, 2023 - Updates to Molina Clinical Policies, Q1 2023
April 12, 2023 - NCH Oncology and Cardiology Prior Auth—Portal Access for Providers
April 11, 2023 - Prior Auth Required for All Types of Therapy When PHE Ends May 12, 2023
April 3, 2023 - Monthly Memo Roundup—Recap of March Provider News
April 3, 2023 - NCH Oncology and Cardiology Processes Are Live
March 27, 2023 - Pharmacist Billing for Hormonal Contraceptive Assessment and Consultation
March 27, 2023 - Reminder of EAPG Reimbursement Methodology
March 23, 2023 - Register for April Provider Webinars
March 22, 2023 - Correct Coding for Sleep Studies
March 17, 2023 - Payment Refund Reporting Enhancement
March 16, 2023 - Two More Live Webinars Scheduled for NCH Oncology and Cardiology Processes
March 16, 2023 - Update: New Timeline for Molina Legacy Portal “Sunset”
March 10, 2023 - New Availity Essentials Overpayments Tool & Live Training
March 1, 2023 - Monthly Memo Roundup—Recap of February Provider News
February 23, 2023 - Register for March Provider Webinars
February 23, 2023 - Reminder: Molina Legacy Portal To Be “Sunset” In March
February 17, 2023 - Revision to PA Frequency Accumulator for Waiver Billing
February 13, 2023 - MHIL Quality Incentive Program for 2023
February 9, 2023 - Change In Lockbox Address for Refund Checks
February 1, 2023 - Updates to Molina Clinical Policies
February 1, 2023 - Monthly Memo Roundup—Recap of January Provider News
January 31, 2023 - Molina’s Prior Authorization (PA) Requirements—Second Quarter, 2023
January 30, 2023 - Planned “Sunsetting” of Molina Legacy Portal In March
January 27, 2023 - Reminder: Partnering With Healthmap Starting February 1, 2023